Active NPI
Matthew Young Johnson, P.A.
- Surgical Physician Assistant
- Alabaster, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.509
- Practice address
- 831 1St St N
Alabaster, AL 35007-8944 - Phone
- (205) 620-1085
- Fax
- (205) 620-1091
- NPI assigned
- Feb 21, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA.509 | AL | Primary |
Addresses
Primary practice location
831 1St St N
Alabaster, AL 35007-8944
Mailing address
1130 22ND Street South Suite 1000
Birmingham, AL 35246-8007
Phone (205) 715-5943
Other practice location 1
1210 7th St S
Clanton, AL 35045-3724
Phone (205) 663-8590
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51005353 | Other | AL | BLUE CROSS |
| 009942984 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 1St St N
Alabaster, AL 35007-8703
Phone (205) 620-7004
1130 22ND St S
Suite 1000
Birmingham, AL 35205-2881
Phone (205) 518-8849
831 1St St N
Alabaster, AL 35007-8944
Phone (205) 663-8590
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.07 of 100
- Quality
- 80.62
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA.509 | AL | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Baptist Health Centers, LLC | Current | Accepting new patients |
Locations
1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100
831 1st St N
Alabaster, AL 35007
Phone (205) 358-9120
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
1210 7th St S
Clanton, AL 35045
Phone (205) 280-0620
Interoperability endpoints
- mjohnson15552@baptisthealthaldirect.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Specialist
- Talladega, AL
- NPI 1669436721
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540425600000",
"number": "1801931001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1130 22ND STREET SOUTH SUITE 1000",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352468007",
"telephone_number": "205-715-5943",
"fax_number": "205-715-5932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 1ST ST N",
"city": "ALABASTER",
"state": "AL",
"postal_code": "350078944",
"telephone_number": "205-620-1085",
"fax_number": "205-620-1091"
}
],
"practiceLocations": [
{
"address_1": "1210 7th St S",
"address_purpose": "LOCATION",
"city": "Clanton",
"state": "AL",
"postal_code": "350453724",
"country_code": "US",
"telephone_number": "205-663-8590",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JOHNSON",
"first_name": "MATTHEW",
"middle_name": "YOUNG",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-21",
"last_updated": "2018-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "AL",
"license": "PA.509",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51005353",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009942984",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alabaster, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.